But you didn't compare opposite strengthening. So followup is needed, contact your stroke leader to get that followup done. Your stroke doctor does know exactly whom to contact to get the stroke strategy updated and research done, or is there no one in charge of stroke? No protocols so you can't even get anything useful from this.
Unilateral versus bilateral upper limb exercise therapy after stroke: A systematic review
A. E. Q. van Delden, MPhil1, C. E. Peper, PhD1, Peter J. Beek, PhD1 and Gert Kwakkel, PhD1,2 From the 1Faculty of Human Movement Sciences and Research Institute MOVE, VU University Amsterdam and 2Department of Rehabilitation Medicine and Research Institute MOVE, VU University Medical Center Amsterdam, The Netherlands
Objective:
to compare the effects of unilateral and bilateral training on upper limb function after stroke with regard to two key factors: severity of upper limb paresis and time of intervention post-stroke. Design: Systematic review and meta-analysis of randomized controlled trials.
Methods:
two authors independently selected trials for inclusion, assessed the methodological quality and extracted data. Study outcomes were pooled by calculating the (standardized) mean difference ((S)MD). Sensitivity analyses for severity and time of intervention post-stroke were applied when possible.
Results:
All 9 studies involving 452 patients showed homogeneity. in chronic patients with a mild upper limb paresis after stroke a marginally significant SMD for upper limb activity performance (SMD 0.34; 95% confidence interval): 0.04–0.63), and marginally significant MDs for perceived upper limb activity performance (amount of use: MD 0.42; 95% confidence interval: 0.09–0.76, and quality of movement: MD 0.45; 95% confidence interval: 0.12–0.78) were found in favour of unilateral training. All other MDs and SMDs were non-significant.
Conclusion: Unilateral and bilateral training are similarly effective. However, intervention success may depend on severity of upper limb paresis(notice they require you to have the correct disability, letting other survivors behind) and time of intervention poststroke. Key words: rehabilitation; stroke; upper limb; systematic review; CIMT; bilateral arm training. J Rehabil Med 2011; 00: 00–00 Correspondence address: Lex van Delden, Faculty of Human Movement Sciences; VU University Amsterdam; Van der Boechorststraat 9; NL-1081 BT Amsterdam, The Netherlands. E-mail: l.van.delden@vu.nl Submitted July 13, 2011; accepted October 31, 2011
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